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26552 crossroad engineers City ®� ��� _ _ �� :INDIANA RETAIL TAX EXEMPT PAGE of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT �f l.i/^c�� 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION crisp,?___ VENDOR C✓ 0 _,,,r E---v-\ \ yS SHIP �-k- c� t�NS� VI TO e CONFIRMATION , BLANKET CONTRACT PAYMENT TERMS • FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 0 1_24-N-:,... 0-0. •. kill .41,�� 1 '., e e °A i 1.v e v c- ( o ),�t1 vet 1 ; ��v CP ''' qfi *'"*.•.--°'" ,c, ' 0: 'NOP' ,i,,a oti , \N\-c\=-_-, „lap- ,. ., 1,/ am „,.,) i 7 Send Invoice To: _ __ + 1Z,SoO-00 • 211 \ \�Z 00 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT • • NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS • I HEREBY CERTIFY r(ATTHEBE.IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRIATION UFF,ICIEH I'-I U PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY t,,,,, -- •PURCHASE ORDER NUMBER MUST APPEAR ON ALL / \ SHIPPING LABELS. // ,..),,t. 46e.......,1/4.. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 CLERK-TREASURER )OCUMENT CONTROL NO. OFFICE COPY